Centennial Care 2.0

Human Services Department (HSD) has selected the following MCOs to provide services
to persons eligible for New Mexico Medicaid through a Centers for Medicare and
Medicaid (CMS) 1115 Demonstration
Wavier. Centers for Medicare
and Medicaid (CMS)

What does LTSS mean to you?

Centennial Care 2.0 has the Long-Term Services and Supports (LTSS) built into the wavier to provide Home and Community based services. The following is from the CMS LTSS website:

The two main models for providing LTSS are home- and community-based care and
facility-based care. The table below compares the main differences between the two
models. It is important to note that, often, the care available to a patient under
each model is quite similar. What is different is how the care is delivered and
where the patient lives.

Home- and Community-Based Care

Facility-Based Care

What LTSS services can be provided?

Medical and personal services to help with daily living tasks

Medical and personal services to help with daily living tasks

Where does the patient live?

In their own home, or with a family member

In a facility designed to provide LTSS to patients who live there

Where are the services provided?

By caregivers who visit the home, or by going out to visit providers in the community

Many services are provided by onsite caregivers who work at the facility

Who are the paid or reimbursable caregivers?

Family members can sometimes be certified as live-in or visiting caregivers, depending on the state's requirements. Other care can be provided by medical providers in the community

Caregivers are the professional medical staff who work at or visit the facility

Under either model, the services available are determined by the funding or
reimbursement options that your program has access to. For example, if state programs,
such as Medicaid, play a large role in your program's funding, allowable services
will be influenced by your state's definition of allowable services. Learn more
about LTSS financing.

How to access Centennial Care 2.0

The person selects their MCO when they enroll (or complete the annual recertification). Then the MCO assigns a Care Coordinator. The Care Coordinator does a phone assessment which assigns Level 1, Level 2 or Level 3 to the Member. The assigned level relates to service and support needs.

When a person has Level 2 or Level 3 this means they need more services and may be
eligible for Agency Based Community Benefit (ABCB) or after receiving ABCB
for 120 days they can access Self-Directed Community Benefit (SDCB). Self-Directed
Choices (SDC) provides Support Broker services and supports to members on
Self-Directed Community Based services and supports.

Self-Directed Choices serves you as a Support Broker?

Self-Directed Choices contracts with Blue Cross/Blue Shield NM and Western Sky to provide Self-Directed Community Benefit (SDCB) services as your Support Broker.